A critic is a man who knows the way but can’t drive the car.
The technician came to me looking harassed. He had a cervical spine lateral x-ray view film with him.
“Do you feel it is alright?” he breathed out in exasperation.
The whole of the cervical spine from atlanto-occipital joints to the top of the first thoracic vertebra was included. The mandible or occipital bones were not obscuring any part of the upper vertebrae. Soft tissues of the neck were included adequately. The contrast produced densities were sufficient to demonstrate soft tissue and bony detail.
I queried the technician as to what the issue was.
It was our Neurosurgeon (again) who had wanted to see the films in his OPD (without radiologist’s report) and then declared to the relatives that they were inadequate and sent them back to get them done properly.
This particular gentleman is not amenable to any discussion as he knows everything (from Germany) but cannot tell what are the criteria for a proper cervical spine lateral view. Thankfully we have the latest edition of Clark’s Positioning in Radiography to show these international experts what criteria we need to fulfill when taking a particular view. Having worked in a place where there are ‘experts’ from different universities, some of them pretty aggressive, over the years, I have armed our department with many lists of criteria, guidelines and best-practice evidence.